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Query: UMLS:C0018681 (headache)
 56,091 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The investigation of personality traits of migraineurs with the Minnesota Multiphasic Personality Inventory (MMPI) is an important line of research, but so far has led to diverse conclusions. In this study, the MMPI (Chinese edition) responses of 50 Chinese subjects (10 men, 40 women) with migraine (4 migraine with aura, 46 without aura), during frequent headache attacks were compared with 30 nonheadache healthy control subjects (6 men, 24 women). Statistical analysis was made between the two groups. The results revealed that subjects in the migraine group had significantly higher scores on subtests of neurotic, (hypochondriasis, depression, hysteria, and psychasthenia), schizophrenia, and social introversion (P < 0.05 to 0.001). Utilizing the American T-score, we found the migraine group's MMPI profile was a typical 1.2.3.7 model. These results suggest migraineurs with frequent headache attacks have multiphasic personality abnormalities and partial cerebral function disturbances.
Headache 1995 Sep
PMID:An MMPI control study: Chinese migraineurs during frequent headache attack intervals. 759 42

The Illness Effects Questionnaire, Illness Behavior Questionnaire, and visual analog scales of mood were given to 100 adults with nonmalignant headaches. Using regression analysis, scores on IBQ Disease Conviction, IBQ Irritability, and depression accounted for 50.6% of the variance in predicting IEQ scores. Scores on the Illness Effects Questionnaire correlated with the Illness Behavior Questionnaire subscales of General Hypochondriasis (.33), Disease Conviction (.60), Affective Disturbance (.49), and Irritability (.40), and also with rated depression (.38) and anxiety (.26).
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PMID:Convergent validation of the Illness Effects Questionnaire. 798 32

The investigations of personality traits have been the issue of many studies on patients with headache. Minnesota Multiphasic Personality Inventory (MMPI) is the most popular assessment instrument used in these studies. MMPI responses of 36 cases (14 male, 22 female) with tension headache and 44 cases (11 male, 33 female) with migraine headache had been compared with 36 nonheadache controls (12 male, 24 female). Because of the inadequate number of male subjects, the statistical analyses were made between female groups. The results obtained revealed that subjects in the tension-type headache group got significantly higher scores on neurotic subtests (hypochondriasis, depression, hysteria) than subjects in the control group. Likewise, migraine subjects got significantly higher scores on hysteria subtest than control subjects. No significant differences were noted between migraine and tension groups. However, none of the headache groups could be characterized by marked elevations on any of the validity and clinical scales. These results, support the finding that neurotic symptoms occur with a higher frequency in headache sufferers.
Headache 1994 Mar
PMID:MMPI profiles of Turkish headache sufferers. 820 Jul 89

Couvade is a phenomenon, where the expectant father or another relative experiences somatic and/or psychiatric symptoms during a woman's pregnancy. Although epidemiological studies report a frequency of couvade symptoms between 11 and 36% during all pregnancies, psychotic couvade cases are very rare with few case reports. The authors report 2 cases of psychotic couvade and give a psychodynamic interpretation of the cases. They emphasize the important role of ego defect and double identification in the development of the cases. Couvade is a phenomenon, where the expectant father or another relative experiences somatic and/or psychiatric symptoms during a woman's pregnancy. The term couvade was first coined by Tylor in 1865. Somatic symptoms can include indigestion or colic, gastritic symptoms, food cravings, nausea and vomiting, increased or decreased appetite, diarrhea, toothache, headache, itch, muscle tremors, nosebleed or other pains. Abdominal bloating and pseudocyesis have also been reported. Although the psychiatric symptoms most often observed are depression, anxiety, insomnia, irritability, tension and hypochondria there are some reports on psychotic couvade too. In our article we present 2 cases of psychotic couvade.
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PMID:Psychotic couvade: 2 case reports. 886 58

To assess the clinical and personality characteristics of patients with chronic daily headache before and after treatment, 20 patients were examined and the Minnesota Multiphasic Personality Inventory (MMPI [Italian 356-item abbreviated version]) and the Strait and Trait Anxiety Index 1,2 (STAI) administered. There were two groups: group 1 (n = 6), with a "conversion V" configuration (with elevation of hypochondria and hysteria scales, the depression scale being somewhat lower); and group 2 (n = 13) with elevation of depression and of other MMPI scales. One patient had no scale elevation. STAI 1,2 scores were high in both groups. Several psychosomatic symptoms and some migraine features were present in almost all patients. Occurrence, severity, and duration of headache were recorded regularly and the MMPI and the STAI administered again after treatment. Improvement of headaches and a decrease of several MMPI and STAI 2 scores were observed. However, 12 of 20 patients showed a conversion V configuration after treatment. It is concluded that chronic daily headache was transformed migraine in most cases and was accompanied by anxiety levels in all patients and hysteric traits in some. With time, these patients may develop a depressive disorder. After treatment, hysterical traits are still present at a lower level in those showing these traits before treatment and may be unmasked in those that had depression.
Headache 1997 Feb
PMID:Chronic daily headache. A clinical and psychological profile before and after treatment. 907 92

A study was conducted to investigate chronic pain patterns in Vietnam veterans with posttraumatic stress disorder (PTSD). Combat veterans with PTSD completed standardized PTSD severity, pain, somatization, and depression measures. Of 129 consecutive out-patient combat veterans with PTSD, 80% reported chronic pain. In descending order were limb pain (83%), back pain (77%), torso pain (50%), and headache pain (32%). Compared to PTSD combat veterans without chronic pain, PTSD veterans who reported chronic pain reported significantly higher somatization as measured by the Minnesota Multiphasic Inventory 2 hypochondriasis and hysteria subscales. In the sample of 103 combat veterans with PTSD and chronic pain, MMPI 2 hypochondriasis scores and B PTSD symptoms (reexperiencing symptoms) were significantly related to pain disability, overall pain index, and current pain level MMPI 2 hypochondriasis and depression scores were also significantly related to percent body pain. These results are discussed in the context of current conceptualizations of PTSD.
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PMID:Chronic posttraumatic stress disorder and chronic pain in Vietnam combat veterans. 933 Feb 37

Fourteen common physical symptoms are responsible for almost half of all primary care visits. Only about 10% to 15% of these symptoms are found to be caused by an organic illness over a 1-year period. Patients with medically unexplained symptoms are frequently frustrating to primary care physicians and utilize medical visits and costs disproportionately. This paper will review the relationship between psychological distress and the decision to seek medical care for common physical symptoms such as fatigue and headache. Evidence will be presented demonstrating that an increasing number of medically unexplained symptoms over a patient's lifetime correlate linearly with the number of anxiety and depressive disorders experienced, the score on the personality dimension of neuroticism, and the degree of functional impairment. Several scales measuring somatization and hypochondriasis are recommended for primary care and medical specialty patients.
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PMID:Medically unexplained symptoms in primary care. 988 37

The investigation of personality traits of migraineurs with the Minnesota Multiphasic Personality Inventory (MMPI) is important research, but so far has led to diverse conclusions. This study aimed to investigate the influences of treatment intervention on the personality of migraineurs. Twenty-three Chinese patients (5 men, 18 women) with migraine (2 with aura, 21 without aura) were given the Chinese edition of the MMPI, before and after treatment, and were compared with 30 nonheadache healthy control subjects (6 men, 24 women). Statistical analyses were made among the three groups. The results revealed that patients in the pretreatment group with migraine had significantly higher scores on subtests of neuroticism (hypochondriasis, depression, hysteria) and schizophrenia. After treatment, the scores on subtests of hysteria, psychasthenia, and schizophrenia were remarkably lower (P < .05); the MMPI profile of the posttreatment group was within the reference range, but the scores of the neurotic scales were still higher than those of the healthy control group (P < .01). These results suggest that after treatment, disturbances in thinking, sentiment, and behavior were eliminated, and anxiety symptoms remarkably reduced, but some "migraine personality" characteristics remained and could influence the long-term results of treatment to some extent. It is suggested that management of migraine should include psychological intervention.
Headache 1999 Sep
PMID:MMPI changes associated with therapeutic intervention: a migraine control study. 1127 75

Headache caused by sexual activity, or coital headache, is included in International headache classification (1988). The paper presents 19 cases (15 males, 4 females, mean age 34 years) examined by the authors. In 58% of the cases, headache developed before orgasm, in 26%--during orgasm and in 16%--after it. Duration of severe headache was from several to 15 min and of moderate one--up to 7 h. In total, disease lasted from 1 week to 8 years. Focal neurological symptoms were absent; magnetic resonance tomography did not reveal any changes in 68% of the patients, while the others had mild hydrocephalia. However, there was a tension of jugular, trapeziform and, less often, of temporal muscles, and, in some of the patients, an increase of arterial pressure. Among psychological features, hypochondria in men and emotional lability in women were detected. According to the clinico-pathophysiological results obtained, different pathogenetic mechanisms of coital headache were suggested: (1) disturbance of venous outflow and dysfunction of antinociceptive systems; (2) increase of arterial pressure combined with tonic tension of pericranial muscles on the background of vertebrogenic disturbances.
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PMID:[Headache caused by sexual activity]. 1462 82

In this study, the authors investigated the features of depression associated with hypochondriac symptoms. The subjects were inpatients of the psychiatry clinic of Jichi Medical School who were clinical diagnosed with depression and enrolled in the study between June 1, 1997, and June 30, 1999. Of 86 subjects enrolled, 49 exhibited hypochondriac symptoms ("hypochondriac group"). Patients in the hypochondriac group tended to be older at diagnosis and admission than those in the "non-hypochondriac group". Our findings suggested that symptoms of both hypochondriasis and depression are related to situational, psychological and organizational factors. As many patients consulted health professionals in specialties other than psychiatry, we emphasize that primary-care doctors need to keep the possibility of depression in mind when examining patients. The frequency of delusions associated with depression was higher in the hypochondriac group than in the non-hypochondriac group. We therefore suggest that hypochondriac attitudes are related to the three major diagnostic features in depressive delusions. Many hypochondriac subjects complained of constipation and pain as concrete symptoms, but the sites of hypochondriac symptoms showed considerable variation. In terms of symptoms of pain, however, affected sites were more localized, with many patients reporting headache or lumbago.
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PMID:[A clinical study of hypochondriac symptoms in patients with depression]. 1547 28


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